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CYNTHIA EDSTROM MD
NPI 1265461198
Pediatrics - Neonatal-Perinatal Medicine in Boise, ID

Active since July 02, 2006
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cynthia Edstrom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYNTHIA EDSTROM MD (NPI 1265461198) is an individual neonatal-perinatal medicine provider in Boise, Idaho, licensed in Idaho (M8632) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1265461198
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameCYNTHIA EDSTROMCredential: MD
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Phone(208) 381-2222
Sole ProprietorYes
Enumeration DateJuly 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265461198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in ID · M8632
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
190 E BANNOCK ST, Boise, ID 83712
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Other Identifiers 1

Medicare UPINF22074

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORA M SUAREZ NP
Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
REBECCA WENSEL P.T.
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2138
JENNIFER WOODBURN
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
MURRY ODONNELL
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-7275
KAITLIN EDMINSTEN DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
ALLISON ELISABETH MAY
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. MICHAEL FREDERIC KRUG M.D.
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
HEATHER CAREW M.D.
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Edstrom's NPI number?

The NPI number for Cynthia Edstrom is 1265461198. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Cynthia Edstrom located?

Cynthia Edstrom practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.

What is Cynthia Edstrom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Cynthia Edstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.